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[Abnormalities of 24 hour (Holter) ECG monitoring in diabetics: involvement of cardiac autonomic neuropathy and/or insulin therapy].
Diabete Metab. 1985 Dec; 11(6):337-42.DM

Abstract

In order to detect evidence of cardiac autonomic neuropathy, 24-hour continuous electrocardiographic monitoring was carried out on fifty-one diabetic patients (thirty-one IDD, twenty NIDD) and twenty-two healthy controls taking no treatment which could alter the heart rate. In the diabetic patients the minimum 24-hour heart-rate and the mean sleeping heart rate were significantly higher, and the maximum 24-hour heart rate and the ratio [(maximum-minimum heart rates)/minimum heart rate] were significantly lower. Evidence in one diabetic of cardiac autonomic neuropathy was found only as the difference (maximum-minimum heart rates). This index was found to be below 38/min (mean-2 SD of the controls) in seven diabetics, but only one of the nine diabetics with signs of autonomic neuropathy had this abnormal index. The mean values for the minimum and the mean sleeping heart rates were high in the IDD with or without signs of peripheral neuropathy and without signs of autonomic neuropathy but were not high in IDD with signs of autonomic neuropathy. These findings suggest the presence of cardiac autonomic neuropathy in diabetics. However, the possibility of insulin-induced tachycardia should be considered this tachycardia is probably related to stimulation of the sympathetic nervous system, which would explain the absence of abnormalities in IDD with autonomic neuropathy.

Authors

Valensi P
No affiliation info available
Attali JR
No affiliation info available
Sachs RN
No affiliation info available
Palsky D
No affiliation info available
Lanfranchi J
No affiliation info available
Sebaoun J
No affiliation info available

MeSH

AdultAgedDiabetes Mellitus, Type 1Diabetic NeuropathiesElectrocardiographyFemaleHeart Conduction SystemHeart RateHumansInsulinMaleMiddle AgedMonitoring, PhysiologicSleep

Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

3910487

Citation

Valensi, P, et al. "[Abnormalities of 24 Hour (Holter) ECG Monitoring in Diabetics: Involvement of Cardiac Autonomic Neuropathy And/or Insulin Therapy]." Diabete & Metabolisme, vol. 11, no. 6, 1985, pp. 337-42.
Valensi P, Attali JR, Sachs RN, et al. [Abnormalities of 24 hour (Holter) ECG monitoring in diabetics: involvement of cardiac autonomic neuropathy and/or insulin therapy]. Diabete Metab. 1985;11(6):337-42.
Valensi, P., Attali, J. R., Sachs, R. N., Palsky, D., Lanfranchi, J., & Sebaoun, J. (1985). [Abnormalities of 24 hour (Holter) ECG monitoring in diabetics: involvement of cardiac autonomic neuropathy and/or insulin therapy]. Diabete & Metabolisme, 11(6), 337-42.
Valensi P, et al. [Abnormalities of 24 Hour (Holter) ECG Monitoring in Diabetics: Involvement of Cardiac Autonomic Neuropathy And/or Insulin Therapy]. Diabete Metab. 1985;11(6):337-42. PubMed PMID: 3910487.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Abnormalities of 24 hour (Holter) ECG monitoring in diabetics: involvement of cardiac autonomic neuropathy and/or insulin therapy]. AU - Valensi,P, AU - Attali,J R, AU - Sachs,R N, AU - Palsky,D, AU - Lanfranchi,J, AU - Sebaoun,J, PY - 1985/12/1/pubmed PY - 2000/3/11/medline PY - 1985/12/1/entrez SP - 337 EP - 42 JF - Diabete & metabolisme JO - Diabete Metab VL - 11 IS - 6 N2 - In order to detect evidence of cardiac autonomic neuropathy, 24-hour continuous electrocardiographic monitoring was carried out on fifty-one diabetic patients (thirty-one IDD, twenty NIDD) and twenty-two healthy controls taking no treatment which could alter the heart rate. In the diabetic patients the minimum 24-hour heart-rate and the mean sleeping heart rate were significantly higher, and the maximum 24-hour heart rate and the ratio [(maximum-minimum heart rates)/minimum heart rate] were significantly lower. Evidence in one diabetic of cardiac autonomic neuropathy was found only as the difference (maximum-minimum heart rates). This index was found to be below 38/min (mean-2 SD of the controls) in seven diabetics, but only one of the nine diabetics with signs of autonomic neuropathy had this abnormal index. The mean values for the minimum and the mean sleeping heart rates were high in the IDD with or without signs of peripheral neuropathy and without signs of autonomic neuropathy but were not high in IDD with signs of autonomic neuropathy. These findings suggest the presence of cardiac autonomic neuropathy in diabetics. However, the possibility of insulin-induced tachycardia should be considered this tachycardia is probably related to stimulation of the sympathetic nervous system, which would explain the absence of abnormalities in IDD with autonomic neuropathy. SN - 0338-1684 UR - https://www.unboundmedicine.com/medline/citation/3910487/[Abnormalities_of_24_hour__Holter__ECG_monitoring_in_diabetics:_involvement_of_cardiac_autonomic_neuropathy_and/or_insulin_therapy]_ DB - PRIME DP - Unbound Medicine ER -